Provider Demographics
NPI:1952598005
Name:AURORA WOMANCARE PC
Entity Type:Organization
Organization Name:AURORA WOMANCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NANNIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-671-6110
Mailing Address - Street 1:3035 S PARKER RD
Mailing Address - Street 2:SUITE 562
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2926
Mailing Address - Country:US
Mailing Address - Phone:303-671-6110
Mailing Address - Fax:303-369-7673
Practice Address - Street 1:3035 S PARKER RD
Practice Address - Street 2:SUITE 562
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2926
Practice Address - Country:US
Practice Address - Phone:303-671-6110
Practice Address - Fax:303-369-7673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33621RTSL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty